DR. KATHRYN ELAINE HERNDON (M.D) – Interventional Pain Medicine Physician, NPI 1679567150

DR. KATHRYN ELAINE HERNDON (M.D) is a healthcare provider. based in Gainesville, Georgia. specializing in INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D. They hold a License No. 03279 (GA). The NPI Number for DR. KATHRYN ELAINE HERNDON (M.D) is 1679567150

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN ELAINE HERNDON (M.D)
NPI
1679567150
Phone
(770) 503-7222
Address
530 SPRING ST SE
Enumeration Date
9 September 2005
Last Update Date
23 October 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7069450810
Graduation Year
1996 (30 years ago)
PAC ID
5193704724
Group Practice PAC ID
6002812401
Professional Enrollment ID
I20040716001162
Address ID
GA309095626AU1321XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

148 INTERVENTIONAL PAIN MANAGEMENT in GA

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Provider Addresses for DR. KATHRYN ELAINE HERNDON (M.D)

  • 530, Spring Street Southeast, Green Street-Brenau Historic District, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305013740

    Phone: (770) 503-7222

    Fax: (770) 718-0009

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Organogenesis Inc. ($74).

Total Amount

$100

General + Research + Ownership

Payments

2

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040716001162IInterventional Pain ManagementGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes604147$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg28683$0
99213Established patient office or other outpatient visit, 20-29 minutes231119$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml11843$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance7126$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002812401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Pain ManagementVA
Internal MedicineGA
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Family PracticeGA
Orthopedic SurgeryWV
N E U R O S U R G E R YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What identifier follows DR. KATHRYN ELAINE HERNDON (M.D) across health systems?
The NPI 1679567150 uniquely identifies DR. KATHRYN ELAINE HERNDON (M.D) in U.S. healthcare data.
Quick check: is DR. KATHRYN ELAINE HERNDON (M.D) active?
Public NPPES data shows DR. KATHRYN ELAINE HERNDON (M.D) with an active NPI status right now.
What type of care does DR. KATHRYN ELAINE HERNDON (M.D) provide?
DR. KATHRYN ELAINE HERNDON (M.D)'s profile centers on Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KATHRYN ELAINE HERNDON (M.D) in Gainesville, Georgia?
For routing, start with Gainesville, Georgia for DR. KATHRYN ELAINE HERNDON (M.D), then verify phone and hours locally.
Why is information missing for DR. KATHRYN ELAINE HERNDON (M.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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